healthcosts.net
Pelvic Ultrasound (limited) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$583.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$65.71 with AETNA vs $524.70 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | PPO | $65.71 | ↓ -44% |
| AETNA | HMO | $65.71 | ↓ -44% |
| CIGNA | PPO | $87.47 | ↓ -26% |
| CIGNA | HMO | $87.47 | ↓ -26% |
| AETNA | MANAGED MEDICAID | $95.61 | ↓ -19% |
| CLOVER | MEDICARE ADVANTAGE | $104.94 | ↓ -11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $109.02 | ↓ -7% |
| AMERIHEALTH | LOCAL HMO | $115.37 | ↓ -2% |
| AMERIHEALTH | REGIONAL HMO | $117.36 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $126.36 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | MANAGED MEDICAID | $354.99 | ↑ +202% |
| HORIZON | PIP | $376.04 | ↑ +219% |
| HORIZON | WORKERS COMP | $376.04 | ↑ +219% |
| HORIZON | OMNIA | $398.13 | ↑ +238% |
| BERGEN RISK | ALL PRODUCTS | $437.25 | ↑ +271% |
| QUALCARE | HMO | $452.99 | ↑ +285% |
| QUALCARE | PPO | $452.99 | ↑ +285% |
| AETNA | ASA | $456.49 | ↑ +288% |
| CIGNA | BH | $466.40 | ↑ +296% |
| HORIZON | SHP | $486.86 | ↑ +314% |
| HORIZON | HMO | $491.64 | ↑ +318% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $495.55 | ↑ +321% |
| HORIZON | INDEMNITY | $498.70 | ↑ +324% |
| HORIZON | PPO | $503.25 | ↑ +328% |
| QUALCARE | WORKERS COMP | $513.04 | ↑ +336% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $524.70 | ↑ +346% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (limited) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $65.41 – $371.70 |
| Ocean University Medical Center | Brick | $116.22 | $65.71 – $524.70 |